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NPI Code Detail

MEDICARE: GRETER DEL VALLE GONZALEZ PHARM.D.

MEDICARE: GRETER DEL VALLE GONZALEZ PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS59647FL

General Provider Information

NPI Number : 1427990142
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETER DEL VALLE GONZALEZ PHARM.D.
Provider Business Mailing Address
First Line : 7151 SHERIDAN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-3726
Country : US
Telephone Number : 305-332-0234
Fax Number : 305-332-0234
Provider Business Practice Location Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-265-5309
Fax Number : 954-265-5309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ GRETER DEL VALLE GONZALEZ PHARM.D.” Practice Location

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